HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-alpha built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

## EHDSDischargeReport Mapping

EHDSDischargeReport -> Composition (HDR)
Ongoing alignment: The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.

### EHDSDischargeReport -> Composition (HDR)

This page explains how conceptual elements from the EHDSDischargeReport logical model are expressed in the corresponding FHIR CompositionEuHdr profile used by this Implementation Guide.

Mapping Context

- Source logical model: EHDSDischargeReport
- Target FHIR profile: CompositionEuHdr

EHDSDischargeReport -> Composition (HDR)
EHDSDischargeReport (Logical Model) | Relationship | Composition (HDR)
--- | --- | ---
Element | Description | Relation | Resource | Element | Description | Notes
header | Document header elements. | related-to | Composition | . | Composition-level metadata. | CompositionEuHdr constrains header elements for HDR.
header.author[x] | The author of the report. | equivalent | Composition | author | Who authored the HDR. | Reference to Practitioner/PractitionerRole/Organization/Device per profile.
header.status | Status of the document. | equivalent | Composition | status | Workflow/clinical status of the HDR. |
header.documentType | Type of document (e.g. LOINC 34105-7). | equivalent | Composition | type | Document type code. | Fixed to LOINC 34105-7 in CompositionEuHdr.
header.documentTitle | Title of the document. | equivalent | Composition | title | Human-readable HDR title. |
header.period | Time of service being documented. | related-to | Composition | event.period | Period covered by the composition. | Map to the primary Composition.event entry.
header.intendedRecipient[x] | Intended recipient(s) of the information. | related-to | Composition | extension:information-recipient | Explicit communication intent. | Uses the information-recipient extension in CompositionEuHdr.
body.encounterInformation | Section: Encounter information. | related-to | Composition | encounter | Encounter referenced by the HDR. | Use EncounterEuHdr.
body.encounterInformation.generatedNarrative | Narrative of encounter information. | related-to | Encounter | text |  |
body.encounterInformation.encounter | Encounter information. | equivalent | Composition | encounter |  |
body.encounterInformation.note | Free text notes by the health professional. | related-to | Composition | extension:note |  |
body.alerts | Section: Alerts. | equivalent | Composition | section:sectionAlert | Alerts section. | Use LOINC 104605-1.
body.alerts.generatedNarrative | Narrative content of the section. | equivalent | Composition | section:sectionAlert.text | Alerts narrative. |
body.alerts.medicalAlert | Description of medical alerts. | equivalent | Composition | section:sectionAlert | Alert entries. | Reference to Flag (EHDSAlert).
body.admissionEvaluation | Section: Admission evaluation. | equivalent | Composition | section:sectionAdmissionEvaluation | Admission evaluation section. | Reported only if relevant.
body.admissionEvaluation.generatedNarrative | Narrative content of the section. | equivalent | Composition | section:sectionAdmissionEvaluation.text | Admission evaluation narrative. |
body.admissionEvaluation.objectiveFindings | Objective findings. | related-to | Composition | section:sectionVitalSigns | Vital signs section. | Use Observation where appropriate.
body.admissionEvaluation.objectiveFindings | Objective findings. | related-to | Composition | section:sectionAnthropometry | Anthropometry section. | Use Observation where appropriate.
body.admissionEvaluation.objectiveFindings | Objective findings. | related-to | Composition | section:sectionPhysicalFindings | Physical findings section. | Use Observation where appropriate.
body.admissionEvaluation.functionalStatus[x] | Functional status assessment. | related-to | Composition | section:sectionFunctionalStatus | Functional status entries. | Condition/Observation/ClinicalImpression as allowed.
body.admissionEvaluation.note | Free text notes by the evaluation performer. | related-to | Composition | section:sectionAdmissionEvaluation.text | Admission evaluation narrative. |
body.patientHistory | Section: Patient health history. | equivalent | Composition | section:sectionPatientHx | Hx general Reported section. |
body.patientHistory.generatedNarrative | Narrative content of the section. | equivalent | Composition | section:sectionPatientHx.text | Hx general Reported narrative. |
body.patientHistory.note | Free text notes by the health professional. | related-to | Composition | section:sectionPatientHx.extension:note | Hx general Reported notes. |
body.courseOfEncounter | Course of encounter. | equivalent | Composition | section:sectionHospitalCourse | Hospital course section. |
body.courseOfEncounter.generatedNarrative | Narrative content of the section. | equivalent | Composition | section:sectionHospitalCourse.text | Hospital course narrative. |
body.courseOfEncounter.diagnosticSummary | Problems treated or affecting care. | equivalent | Composition | section:sectionDiagnosticSummary | Diagnostic summary section. | Reference to ConditionEuCore.
body.courseOfEncounter.procedures | Procedures performed during encounter. | equivalent | Composition | section:sectionSignificantProcedures | Significant procedures section. | Reference to ProcedureEuCore.
body.courseOfEncounter.medicalDevicesAndImplants | Medical devices and implants. | equivalent | Composition | section:sectionMedicalDevices | Medical devices section. | Reference to DeviceUseStatementEuHdr.
body.courseOfEncounter.pharmacotherapy | Medication treatments during encounter. | equivalent | Composition | section:sectionPharmacotherapy | Pharmacotherapy section. | MedicationStatement/Request/Dispense/Administration.
body.courseOfEncounter.objectiveFindings | Objective findings during encounter. | related-to | Composition | section:sectionVitalSigns | Vital signs section. | Use Observation where appropriate.
body.courseOfEncounter.objectiveFindings | Objective findings during encounter. | related-to | Composition | section:sectionAnthropometry | Anthropometry section. | Use Observation where appropriate.
body.courseOfEncounter.objectiveFindings | Objective findings during encounter. | related-to | Composition | section:sectionPhysicalFindings | Physical findings section. | Use Observation where appropriate.
body.courseOfEncounter.testResults | Significant medical test results. | equivalent | Composition | section:sectionSignificantResults | Significant results section. | Observation/DiagnosticReport/DocumentReference.
body.courseOfEncounter.note | Free text notes. | related-to | Composition | section:sectionHospitalCourse.text | Hospital course narrative. |
body.dischargeDetails | Discharge details. | equivalent | Composition | section:sectionDischargeDetails | Discharge details section. |
body.dischargeDetails.generatedNarrative | Narrative content of the section. | equivalent | Composition | section:sectionDischargeDetails.text | Discharge details narrative. |
body.dischargeDetails.objectiveFindings | Objective findings at discharge. | related-to | Composition | section:sectionPhysicalFindings / section:sectionVitalSigns | Discharge findings. | Use Observation where appropriate.
body.dischargeDetails.functionalStatus[x] | Functional status at discharge. | related-to | Composition | section:sectionFunctionalStatus | Functional status entries. |
body.dischargeDetails.note | Free text notes. | related-to | Composition | section:sectionDischargeDetails.text | Discharge details narrative. |
body.medicationSummary | Medication summary after discharge. | related-to | Composition | section:sectionDischargeMedications | Discharge medications section. | Post-discharge medications summary.
body.medicationSummary.generatedNarrative | Narrative content of the section. | equivalent | Composition | section:sectionDischargeMedications.text | Discharge medications narrative. |
body.medicationSummary.medicationUse | Details about medication and dosage. | equivalent | Composition | section:sectionDischargeMedications | Discharge medications section. | MedicationRequest/MedicationDispense/MedicationStatement.
body.medicationSummary.note | Free text notes. | related-to | Composition | section:sectionDischargeMedications.text | Discharge medications narrative. |
body.carePlan | Care plan and recommendations after discharge. | equivalent | Composition | section:sectionPlanOfCare | Plan of care section. |
body.carePlan.generatedNarrative | Narrative content of the section. | equivalent | Composition | section:sectionPlanOfCare.text | Plan of care narrative. |
body.carePlan.carePlan | Structured care plan after discharge. | equivalent | Composition | section:sectionPlanOfCare | Plan of care section. | Reference to CarePlanEuHdr.
body.carePlan.otherRecommendations | Other recommendations after discharge. | related-to | Composition | section:sectionPlanOfCare.text | Plan of care narrative. | May also be represented in Discharge Instructions narrative.
body.synthesis | Clinical synthesis. | equivalent | Composition | section:sectionSynthesis.text | Synthesis narrative. |
attachments | Report attachments. | equivalent | Composition | section:sectionAttachments | Attachments section. | DocumentReference/Binary in CompositionEuHdr.

Return to overview: EHDS Logical Models -> FHIR Profiles